@Career, February 2007 ... Medical Care, Medical Director
8. Medical Claims Examiner (Facility & Physician) 9.
Senior ... , Scrubbing
applications, Enrollment, ID cards, claims & Broker
issues Candidate Must have ... RFP's, Scrubbing
applications, Enrollment, ID cards, claims & Broker
issues ) Manage the ... of files, etc. Handle
Higher level claims & broker issues A hands on ... Take responsibility for
the lifecycle of claims to ensure effective settlement.
Leveraging keen ...
interpret contracts, historical data and medical claims
policies, you will analyze and resolve pended claims
generated from our (Rubi) reporting system. ... apply adjustments, refer
claims to Senior Claims Analysts, and document/track claim
inquiries using ... at least OONNEE year of medical claims
billing/processing experience. The ability to work ... control the call center
workflow, interpret claims and provider contracts to
facilitate processing, investigate referrals from Claims,
and identify/track provider issues and systems ... terminology, managed
care contracting language and claims
processing/reimbursement, as well as a bachelor's ... background
with managed care contracts and/or claims. Excellent
communication skills and PC proficiency ... www.mcol.com/career.htm - 77 kB
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